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Home My WebLink About2018-00137 - addn/remodel/repair � s CITY OF ORONO * 2 0 1 8 — 0 0 1 3 7 * 2750 KELLEY PARKWAY DATE ISSUED: 02/13/2018 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1440 SHORELINE DR PIN : 11-117-23-22-0004 LEGAL DESC : UNPLATTED 11 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN VALUATION : $ 12,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) APPLICANT PERMIT FEE SCHEDULE 23230 SJ FISHER CONSTRUCTION PLAN REVIEW 151.00 70 FLORENCE DR STATE SURCHARGE(VALUATION) 6.00 TONKA BAY,MN 55331- TOTAL 389.30 (612)221-5509 Payment(s) Minnesota State License#:mech-BC626515 CREDIT CARD 6600 38930 OWNER EOF INVESTMENTS 10 S STH STREET#110 MINNEAPOLIS,MN 55402- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this rype of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. 1'he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.1'his permit may be revoked at any tim for ue cause. � � (J I � � � / /�J� / Applicant Permitee Signature ate Issued By ' ature Date ` City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O� Mailing Address: Permit number: �l (�' � 1 �j� O PO Box 66 Crystal Bay, MN 55323-0066 Date received: p� ' (��$ � � Street Address: Received by: � ti�, G� 2750 Kelley Parkway Plan review fee: Orono, MN 55356 tqKFS H 0�� Total Fee:� 2 Q(�. �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �J U / This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: I (� Job Site Address: f �y� ^ `� VIOv'G �.►��t IJ ri�/L , Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to fhe event. Shuttle bus seivice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMAT ON: Name: 5 +C v-e ��s � 2� State License# (3 L 42 (o S'�� Expiration Date: 'S S 1 k$ Lead Certification Number: �Jq}� •¢ f� y8 5� - 1 Expiration Date: �-y� z� �� (for work on homes that were constructed prior to 1978 Phone: (cell) �12- L2� - 5�5�0 (office) Mailing Address: City:�� y 4, ZIP: ��3 3 1 Contact Person: JG �s e, Applicant is: Contr�c� / Ho eowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �,�`�Cf �/c ��c Cj 0 V�S , Phone (day): �S�Z - -j c�S- c�c� Address: /�{��. �'j p,/'r ��1.�,t ��•-t v�C City:�cr� �c� ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door s �Remodel MCWD review&permits: ( ) ❑ Fire Damage ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof, cedar �Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof, other(specify) ❑ Siding ❑ Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) .minnehahacreek.or Estimated Construction Valuation of Project (excluding land) $ APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all inforrnation required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to an ually update our records and records of other governmental agencies required by law. If ou refuse to su I info ation,th a lication ma not be issued. ApplicanYs Signature: Date: 2 G Owner's Signature: Date: Last Updated:January 2016 . � ' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: /% `7�� (�l/'r�'f d//l(� �'� (/f ; Permit No.: ��T� ��,�� Description of work: Date Rec'd: � � l Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: � � Grading review by: Date Approved: Zoning District: Zoning File#: Resolution? Yes Reso#: Reso Date: Signed: s No Resolution/NA Zoning: Lot Area: S /AC Width: Structur Coverage: SF % Survey Submitted: 0 Yes � No Date of Survey: Revised date � : Landscape plan submitted? � Yes Landscaper: � No/None proposed Pro osed Setbacks: Front(Lake) Rear(Street) ( S E W ) ( N S E W ) Other Buildings Wetland Side Side Buildin Hei ht Anal sis: Distance Befinreen First Floor and defined p of Roof (See"building heighY' �a� � definition : First Floor Elevation from buildin lans : (b) Highest Existing ground level (per survey) or 1 ' bove lowest ground level, �� whichever is lower: Difference between b and c *: (d) DEFINED HEIGHT "If highest existing adjacent grade is above FF -Height (a)-(d): (e� "If hi hest existin ad'acent rade is below FF -Hei ht i a + d Shoreland District MCWD P rmit Average Lakeshore Setback g�uff Met? � Yes � No Permit Number: 0 Yes 0 No 0 N/A 0 Yes � No 0 N/A—see attac ed Setback: Stormwater Quality Existi g Propo d Overlay District Tier Hardc ver Hardco r Variance Required CUP Required circle one % an s % and s � Yes 0 No � Yes � No 1 2 3 4 5 Type(s): Type(s): ✓ Updated: June 2017 z:\forms�plan review checklist 06-2017.docx Fees to be Char ed YES NO Permit �,/` Plan Review State Surcharge � Investigation Fee V' SAC—Number of SAC Units �/' Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 1�' Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ < �J/�llJ'(/ �� Orono �nspections Required Work Requiring Separate Permits 0 Footing 0 Site Plumbing � Grading/Filling � Poured Wall � Silt Fence/Erosion Control Mechanical 0 Fire � Foundation Survey 0 Hardcover Removal 0 Fireplace 0 Water Connection � Framing � Other(specify) � Masonry � Sewer Connection 0 Waterproofing/Drain tile 0 Mfg. � Lawn Irrigation 0 Foundation Waterproofing 0 Other(specify) � Landscaping Framing 0 Septic Insulation � As-Built Survey �Final 0 Lathe Required State Permits 0 Other(specify) � Well �Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: � See Builder Acknowledgement Form � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. � Updated: June 2017 z:\forms�plan review checklist 06-2017.docx or �- i�� f �� y ��--� � 4�� VG11�. �; , � � - � � �� 2v ly'�D- Sh�r�,1� n� 1�revt� �°�"'�..�--�--.�;....,�,��_�_.� �.� �....�,� �� S�T Fisher -- -- � � � � � � �� « ��eQ��r� t�ONSTRUCTlO .. . � w i3�� x ,� �` �� 5 ' � �� .. ` c�� ri�v��d ar Gcd'�� (e'�r�1� � � 1� ��t%'C� �/ � � ar,pfianc i��y or'Orono / � Date l� / �f�5 U�aT 1� — �a'"�`� �.bDIM Reviewer � � ! ��-��oQ� — —' — -- `�`6 �U l��i ah ,--..--- -- -- 1 v�� 5� e�' �� o� - 3 ., , �� 2 //x/� �,� s l �.�C y� �v�ll�: � SMOl�DETECTOR CONNECTED TO A SOUND- f ING DEVICE OR OTNcR DETECTOR AUDIBLE IN SLEEPING AF�S• � r I Carbon monoxid? detector required within 10 ft. of S�u�1"5 �G all sleeping rooms. � � ` ��,n ! � �1��.�. � �t�rr�c!(.C.. -- — —• Tra v�s 1-�ts-�-. � �r�ve�m �� `�.I�� /� ( lb �i� 31�b= E ' �o Florence Drive • Excelsior, MN 55331 • ice 952/47 - 6 www.sjfisherconstruction.com �HAUST FAN VENT DlRECTLY OUTSIDE Q � ��{ ��G � �� I , I ��± . � j�-, � ,w,� - �, ��vQr val�e� k.��--,�,:�_n K� .�: . _ �s ._�..., �.t,.� I�I�iO 5�oc�l��e �riv� ; SJ Fisher ��NSTRUCTION � Ma��er l�.�robnn �-virs 2ne� F1oor D�• � v o �� Da�hrooNl � � �luse�- 3��c�= I � �N�RE�ST FAN LY pUTslDE �o Florence Drive • Excelsior, MN 55331 • Office 952/474-6976 www.sjfisherconstruction.com � -5 �- 3 �� /� TIME CITY OF ORONO CALLED IN r � INSPECTION��qn�� SCHEDULED � � � PERMIT NO. �� C LETED ADDRESS �L`� OWNER �EPH� �_�� `�� CONTRACTOR � DESCRIPTION S�G��L OY� t~11 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE FiEMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNERlCONTMCTOR TO MEET Y'OU:_YES_NO � COMMENTS: �' �hS j�',��t�'i�� i� r��4��t�Jt.�I T��"'r_ � � W ,�' � � �'1 +�+ r 5 1� Y� oL��f' Q� -�! Genfir..cfio� L�4G a�r« .J Te �� vG t 1$ %n �° vt�S/'i�«� w�' ' l o' W � , r � Q r t 6. W � W � J O W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE ��RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. O PHOTOTAKEN INSPECTOR WILL REfl1RN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: �-- Inspector: .r��s� o � � White Copydnspectw's File Canary CopyfSite Notiee � DATE TIME CITY OF ORONO CALLED IN �� . INSPECTION NOTICE SCHEDULED � PERMIT NO. ��-��.�� OMPLEf D� /D:Q`lJ ADDRESS l7 7D f?��—� OWNER TELEPHONE NO.��^'��-'�// CONTRACTOR � �� DESCRIPTION �� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FiNAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY / ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTAACTOR TO MEET YOU:_YES_NO � COMMENTS: �r...,,'�., , �� flT�I�a,��T t'nS t��l-�� W �,�o��i.� . 01 �r v-i h 1 Pac�r^i.)/^ l��l'�c G�vC/r'n�i Lv�t L�S D�'vvi dr a fi�r:�- V c n-1-:/a-fi;,.r. .� � u rr '�M-� �1 S � Q � W � W � � J O W ❑WORKSATISFACTOFlY:PROCEED ❑ PROJECT COMPLETE �ORRECT YYORK 8 PROCEED �ISSUE CERTIFIC�pTE OF OCCUPANCY O ❑CORRECT WORK CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerrCorrtractor on site: Inspector: ��v� � Whits Capyllnapector's Flle Canary CopylSke Notke